Individual provider Active NPI

Lloyd Leo Stock, LMP

  • Massage Therapist
  • Medical Lake, WA
National Provider Identifier
1124202452
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00023594 Issued in WA
Practice address
725 N Stanley St Ste C
Medical Lake, WA 99022-8939
Phone
(509) 299-6900
Fax
(509) 299-6900
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00023594 WA Primary

Addresses

Primary practice location

725 N Stanley St Ste C
Medical Lake, WA 99022-8939

Mailing address

PO Box 993
Medical Lake, WA 99022-0993
Phone (509) 299-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00023594WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Ctr of Med Lake PS Massage Therapist Past Accepting new patients
Sunset Boulevard Chiropractic, P.S. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1124202452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220993",
            "telephone_number": "509-299-6900",
            "fax_number": "509-299-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N STANLEY ST STE C",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228939",
            "telephone_number": "509-299-6900",
            "fax_number": "509-299-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "LLOYD",
        "middle_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medical Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.